Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 372015741
Report Date: 06/02/2015 12:00:00 AM
Date Signed 06/02/2015 02:00:21 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME:RAJPUT, IRFANA FAMILY CHILD CAREFACILITY NUMBER:
372015741
ADMINISTRATOR:IRFANA RAJPUTFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(858) 484-7621
CITY:SAN DIEGOSTATE: CAZIP CODE:
92129
CAPACITY:14CENSUS: 7DATE:
06/02/2015
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
01:05 PM
MET WITH:Irfana RajputTIME COMPLETED:
02:30 PM
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2) LPA Miriam Pennock conducted an annual random visit at the Family Child Care Home of Irfana Rajput in Rancho Penasquitos. Licensee is present with her husband as assistant caregiver today. Children were mostly napping through the visit.
There are no bodies of water or weapons of any kind. All cleaning supplies, detergents and other hazardous items are kept in the locked garage. There is a screened fireplace in the family no and no open faced heaters. Fire Extinguisher is a charged 2A10BC in the kitchen. Fire Extinguisher was recharged in May 2015. There are working smoke alarms and a carbon monoxide detector upstairs. The home is clean and orderly with heating and ventilation for comfort. Rooms available for the child care are all on the first floor and include family room, dining room, dinette, kitchen, living room, bathroom and one bedroom downstairs. Kitchen has been child proofed.
There is a barricade between areas used for day care and inaccessible areas. The home has a working telephone. Licensee is present and actively involved with the children in care. She has a list of substitutes for any time where she might need to be absent and everyone has criminal record clearances on file. She does not transport children so no one could be left in a parked vehicle.
Outside play areas are fenced and supervised at all times. Licensee is always within capacity. There is an assistant provider present in the home whenever numbers indicate a necessity for one.
Licensee has a roster of her children in care. She conducts fire and disaster drills as required. All adult residents of the home and assistant care providers have criminal record clearances on file as required. LPA was able to enter the home after ringing the doorbell.
Licensee and her husband have pediatric CPR and First Aid on file through AB CPR and cards do not expire until 11/22/2016.
At the present time there do not appear to be any deficiencies and this facility appears to be meeting Title 22 and Licensing requirements. This is a public document which must be available at your facility site for a period of three years. Original signature is on original paperwork.
SUPERVISOR'S NAME: Debbie HanesTELEPHONE: (619) 767- 2205
LICENSING EVALUATOR NAME: Miriam PennockTELEPHONE: (619) 767-2216
LICENSING EVALUATOR SIGNATURE:

DATE: 06/02/2015
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/02/2015
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
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